HomeMy WebLinkAboutSack-Keisgen �guFFoc,��
ELIZABETH A.NEVILLE,MMC �O�' Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS & • Fax(631)765-6145
MARRIAGE OFFICER A Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER �O,( �`� www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLE D [Ec�D'V[E
TOWN OF SOUTHOLD DD
MAR _ 82018
TO: Southold Town Building Department
BUILDINGDEPT.
FROM: Sabrina Born, Southold Town Clerk's Office TOWN OF SOUTHOLD
DATED: March 7, 2018
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4587 for a Cesspool/Septic Tank
Construction Permit submitted by:
Mark Schwartz for Sack-Keis en.
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments:
Signature
a� !6
Dated
I
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
C4 Southold,New York 11971
REGISTRAR.OF VITAL STATISTICS
MARRIAGE OFFICER Fax(631) 765-6145
�,
RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ®'� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential $10 - ' or Non-Residential $25 Application No. � {
@ @ p
Permit No.
Applicant Name PL-I' {
Applicant Mailing Address �-
Septic Tank or Cesspool
Brief Description of Pr posed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property:
Owner Mailing Address:
Alcl
Owner Property Address:
Name and phone number of contact person O ka Z/ 2 .g��— �' Z
Tax Map No: Section Ko Block Lot r7
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HE TH DEPARTMENT APPROVAL
hr
Signature of App t ate
Received by:
I
s
S.C.T.M. NO. DISTRICT: 1000 SECTION: 80 BLOCK: 1 LOT(S): 17.1
DWELLINGS LAND NIF
PROPOSED W/PUBu5WATER OF
0
3-4 BEDROOM SYSTEM DOROTHY & WILLIAM MARGIN
I;--I1. CAL TANKJ
(1) B DIAx12DEFP LP. c x
V W.V. S69"48'40"E 6 145.25'
EL 34.5
EL 33.0 ._ O 7"E LOT 20
ot " EL(33.5)
N
OdCrry _ 5) o
04 40,7 EL(33.V M
4
,{per 5" wg ala Dw.Y PROPOSED mo TV w
2 STY FRw.
TQI, DWELLING o
DWELLINGS 1�1 : 3" IST: 1.365 S.F. x ,V DWELLINGS
W/PUBLIC WATER ......V flfl99 6,0« 2ND:L1.003;S.F. LOT 21 Y W/PUB 150' ER
f
150' ..: ( ) x(35.5 23.0, �r- 63.5'. _._ 0 0
EL(33.5, O o 0
x GARAGE x m
35.0'-- CF 38.0 FC
PIPE
K - �
(33.5)
PROPOSED EL
PROP. WATER
LOT 22
DRIVEWAY
p F0
EL ...... ....... GF(35.0)
( )• -._
EL 33.5 EL 33.4
N6948'40"W 14384' ELEV. 33.1
LAND NSF OL DR BROWN DY LOAMF, 1.1"
OF DWELLINGS LOT 23
o 'H LAURIE BLOOM IN/PUBLIC WATER BROWN
o LEONARD THON Igo SM �Y SAND 2.0'
00 n
PALE
BROWN
MEDIUM
SP TO
COARSE
SAND
� ws" 13.9'
II 1 7 7 w, �ZTM LYS" c,
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I"r IP o� . P pf"'o LZONED R—:EU
A
7V �
ro M y plNON-CONFORMJI:(: LOT
MILT I V w. ONLY FRONT YARD 35' WIN THE WA TER SUPPL Y, WEL L S ORYWEL L S AND CESSPOOL
REAR YARD 35' .AN NO WATER
�
�" SIDE YARD 1o'w'r (25' TOTAL) 17' LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
m w
III � ° w � DEC. 15. 2015 AND OR DATA OBTAINED FROM 0 THERS.
�"
K. WOYCHUK LS
d � dl �
Rlrm �l'm": dl°I u1 w,. � I.08 SOFT. or 0.25 ACRES `NAVD88
,.. -,,.,. ,.,. ...,, �•,, BAYVIEW RD. EL£vARON DATUM.
°�� h �^ AREA• 10 8�•
C' UNAUTHORIZ£L ALTERATION OR ADDITION TO THIS SURVEY 1S A V70LA77ON OF SECTION 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY
U„( I °ul E "(EARS a wl „1 " MAP NOT BEAONG THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
( II )I wlh I�ml w,pWllwl,! ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
na0i4 Y � THE OFFSETS AND TO THF. ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE,
1 a� V
LISTED HERc'G.
A? DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURF,S ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS, EASEMENTS
AND/OR SUBSURFACE STRUPTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF: D4'SCRIBED PROPERTY CERTIFIED TO: BRIAN SACK; DAVID KIESGEN;
.... �...._
MAP OF: FIDELITY NATIONAL TITLE INSURANCE SERVICES, LLC;
FILED:
SITUATED AT: PARADISE SHORES _.._._.__....._...m----._ ... — .....�.'.
TOWN OF: SOUI'HOLD KENNETH M WOYCHUK
LAND LjVEYINC, PLLC
SUFFOLK CO1N TYNEW YORK, Professional Land Surveying and Design
r�I�f P.O. Box 153 Aquebogue, Nein York 11931
DEC. 15. 2015 PHONE (631)298-1588 FAX (931) 296-1598
FILE 15—21 t� .
b SCALE: 1 =-30, DATE: N.Y.S.SL1SG. N0. 050882 maintaining the records of Robert J. Hennessy k Kenneth M. 11o2chulc
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